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201 Willow Oak Lny(is^,s-+. � �.., r ,�:/j #�.,S ;d`7^ l�yiw:q:.ra; vsn, jh y,'F"��;C.,{+.a �'a rtt��.aes,,,'F,a; ,:s �,f*-ry s�,�"�'if�i ,�.7.. -;:�W ^w'y�juti';?rq+I'Yw,y y"'1£r .t H,-.. G"9}a nr' ��SP.°'TF �:•'ti'Si}•v .Aw �7r-1$ 'rL:x. ,2 zr'*1�';j_ �+x;,.�4. 4 s.} AUTHORIZATION NO: Q 9 3 6 DAVIE, COUNTY HEALTH DEPARTMENT ti ,-�' Environmental Health Section PROPERTY INFORMATION l P tee - P.O. Box 848 Names'`° Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions" to property: ; ?�//'^x�'%J� . Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#576 _ oto SYSTEM CONSTRUCTION ' Road Name: 70• . Zip: o **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In'compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH. SPECIALIST _ DATE ISSUED �M�j ,r!n"Y -rix .r 'r'`+N" +yid" °'fa).2 e.;." +ke.r'k�`°!?"+:w`a,firrli�tFsra .. ¢�'v P.=.v" 'i xr�;r„�t ..,.. as"'i „�'*=. ,t +y,m'it•° ��"`,`7 ,.r�„`i-y ,"�r�`'. 4 .rt: = 'z° DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Nam JaxF'` 'Subdivision Name ' Directions property: w r°a r-. ,* -Section: Lot: x✓ IMP OVEME141T .. aar / PERMIT Tax Office PIN:#y6A- 4 - d Road Name: 6 Af Zip: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ..• ”, PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEAL I H SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE /i% # BEDROOMS /`.� # BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE - r. TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE_kREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE, � D GAL. PUMP TANK - GAL. TRENCH WIDTH ROCK DEPTH / �. LINEAR'Frx �/ OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT ip STEM INSXALLED BY: Cp o, AUTHORIZATION NO.OPERATION PERMIT BY: DATE: Sj "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA , GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section r P.O. Box 848 EPP—E OAK �' P Mocksville, NC 27028 JUN _ 91991 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE P. THE REQUIRED INFORMATION IS 1. Name to be Billed Vivian A. McKnight Mailing Address 1351 NC Hwy 801 N. City/State/Zip Advanre, NC 27006 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person Vivian A. McKnight Home Phone 910-498-8153 Business Phone 910-99g* 4620 City/State/Zip 3. Application For: [ jt Site Evaluation [ ] Improvement Permit & ATC 4. System to Serve: [ 4 House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other [ ] Both 5. If Residence: # People --L— # Bedrooms 21 # Bathrooms be ] Dishwasher [ ] Garbage Disposal � ] Washing Machine [ 3 Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # Showers # Urinals # Water Coolers # People #Sinks # Commodes If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [ l County/City [ � Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes If yes, what type? [X] No EITHER A PLAT Oft SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AVEAVCOF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION Property Dimensions: WRITE DIRECTIONS (from ocksville) TO PROPERTY:- Tax Office PIN: # 5862 - 06 - 5715 Hwy #158 to Farmington Road - right nn Property Address: Road Name so/ Hwy 801 - 2 ' miles - drive on right City/Zip Advance, NC 27006 directly across from McKnight Road. If in Subdivision provide information, as follows: (no name on drive) Go down drive Name: ; through metal gates, turn left into Section: Lot#: wooded area at rail fence. This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department nter upon above described property located in Davie County and owned by Vi // 1 G,. o—pnduct all test es as cess ary termine the site suitability. DATE (D '%' %7 SIGNATURE ' Revised DCHD (06-96) THIS AREA MAY $E USED FOR DRAWING YOUR SITE PLAN: , g W ��,t, / Irl • �., J � i. 7'4 dfi'�9� a.{+a I ow i Ir v fit' F 'r. NX y` r la' a. OD ., OD rn ,n �tk,, r Ile Ar• { Q, _ 4F !.a.:. »:r E '8911 ..•.. _ r ..._ _ i jai _�.; � . lrYr+.iYwr,r -'•rte, ,r...�' c't R- v� •� T y �}�� "yam,, � � � .k \ 1 co,��,��, .. J r . I __, phi . .. ••� gb II I V- J� t 9011 co \\ __ � _r 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED 7 - PROPOSED PROPOSED FACILITY Zt PROPERTY SIZE y��c SUBDIVISION ROAD NAME Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position 'CL - Slope Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence _ Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: ®� /a �� EVALUATION BY: LONG-TERM ACCEPTANCE RATE: it C OTHER(S) PRESENT: REMARKS: Landscaue Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable . FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD (01-90) ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ NONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEMNON MMMENE MUNSON iiiiiiiMEMO ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ iii ONE iii ■ ■ ■Oce■■■■■■■■■cc■■■■■■■■:eee�e�•�■ecce■■■■■■■■■c■■ecce■ ■■■■■■■■■■■■■■■■eNee■■■■■■■■■ii■■■■■■■■■■■■■eM■e■■■■■■ ■M■■■■M■■■■■■■■■■EEM■■M■■■■■ ■■s■c■■eN■■■■■■■■■■■■■■■ ■M■■■e■■■■■■M■■■■■■■■■■■■■■■■■Nee■■■■M■■N■■■M■■e■■■s■■ ■ecc■■ec■cs■ecce■■cc■■■■c■cc■McccM■eM■c■■cce■c■■■e■ee■ ■■■■MEM■■■■■■■■■■■■Nee■■■■■■ ■■■■Nee■■■■■■■■■■■■■■■■■ ■■■■M■■■■■■M■■M■■■■■■■sM■■■Nae■■■■MM■■M■■M■MMM■■M■■■■■ ■■■ecce■eee■■■eeeeee■■eee■■cM■cc■■■■■■c■■e■te■■Mc■■■■■ ■■■■■■■MMM■■■■■■■M■■M■■■M■■■■M■■■MEM■■MM■■■MMMM■M■MMM■ ■■Nee■■■■■e■■M■■M■M■■■M■■■■■M■e■■tee■M■■■■■■ME■M■■■■■■ ■■■■■■■■■■■■■■■■■■M■■■EMM■■M■■■M■■M■■■■■■■■■■■■■■Nee■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■ SEEN MEMO ■■■■ NONE ■E■■ ■M■■ MEMO ■■■■ ■■■■ OMEN MEMO ■■■■ MEMO NONE ■■N■ ■■M■ ■N■■ MONO MONO ■■■■ MEMO NONE MONO i Parcel #: C600000083 Davie County, NC - Basic Estate Search Page 1 of 1 vPIZt1A C tA. °v., Davie County Web Site 'Basic Search Real Estate Search Tax Bill Search Sales Search 0 View Property Record for this Parcel View Man for this Parcel View Tax Bill Information Parcel #: C600000083 Account #:49845000 Owner Information BXF• Tax Codes Land: CKNIGHT VIVIAN ANN IMIDVANCE, Market: ADVLTAX -COUNTY T1 ssessed: WILLOW OAK LANE Deferred: FIREADVLTAX - FIRE TAXNC 27006 Property Information Township Land (Units/Type): 49.500 AC FARMINGTON Address: 201 WILLOW OAK LN Information Local Zoning ID��Deed a�te:085 Book: 00127 Page: 0137 Page: Le al Description PIN 9.50 AC HWY 801 OFF 5862065715 Property Values Buiidin 184,69 01 BXF• 18,56 Land: 27094 Market: 47419 ssessed: 24376 Deferred: 23043 Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00127 0137 06 1985 WD Unqualified Vacant 0 >_ 00127 0143 06 1985 WD Unqualified Improved 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search All information on this site Is prepared for the Inventory of real property found within Davie County. All data is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or Implied, In fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnet/View.aspx?prid=1467549 9/13/2016